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If Wegovy is covered and Zepbound isn't, you'll need prior authorization to switch, often requiring documentation that Wegovy failed or caused intolerable side effects

One payer commented that insurers view GLP-1 drugs as having high upfront costs with uncertain long-term effects, especially on obesity outcomes ( [21] )

2025 Jul;33(7):1232-1236

Results GLP-1RA reduced major cardiovascular events (MACE) by 14% (HR = 0.86, 95% CI 0.790.94, P = 0.006) with a non-significant heterogeneity between subgroups of patients with and without cardiovascular disease (P = 0.127)

GLP-1 FAQs Can I take Ozempic for weight loss if Im not diabetic